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Getting Paid to Address Social Determinants of Health (SDOH)

Medicare now reimburses providers for services addressing patients' social determinants of health (SDOH), such as housing instability, transportation challenges, and food insecurity.

PYA's Martie Ross, Miriam Murray, and Katie Croswell addressed technical and practical issues relating to payment for SDOH risk assessments, community health integration (CHI), and principal illness navigation (PIN).

The PYA team provided key insights regarding these topics:

Workflow for SDOH risk assessments

Initiating visits for CHI and PIN

Billing practitioner responsibilities and staff qualifications

Scope of…

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